Organization
COASTAL ONCOLOGY & HEMATOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNA G FAIDAS MD (PRESIDENT)
(252) 634-1616
Entity
Organization
Contact information
Practice address
3322 WELLONS BLVD, NEW BERN, NC 28562-5290
(252) 634-1616
(252) 634-1617
Mailing address
3322 WELLONS BLVD, NEW BERN, NC 28562-5290
(252) 634-1616
(252) 634-1617
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
9601134
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0285R
BLUE CROSS BLUE SHIELD #
NC
05
—
89012NA
—
NC
Enumeration date
11/08/2006
Last updated
08/22/2020
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